Alcohol Withdrawal / Detox

Patient advises they have recently given up alcohol
Heavy Drinker
Usual daily consumption:

Experiencing the following symptoms:

- headaches
- nausea
- tremors
- anxiety
- hallucinations 
- seizures.
- Insomnia


On Examination

Appears agitated / in a withdrawal State

Vital signs noted 


Impression:

Alcohol Withdrawal

Management:

1. Valium 5mg qid
2. Maxolon 10mg tds prn
3. Thiamine
4. Given details to contact nearest detox centre for phone assessment and admission as soon as possible
5. Continue to try to maintain abstinence
6. Mental Health Plan prepared and referral psychologist arranged

Present to ED or call ambulance if any seizures



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